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1114375193
JESSICA COUTAIN
FORT LAUDERDALE, FL
NPI
1114375193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 14023)
Enumeration Date
2016-05-31
Last Update Date
2016-05-31
Business Address
-- JESSICA COUTAIN
2825 SW 14TH ST
FORT LAUDERDALE, FL 33312-3906
Phone number: 954-851-4640
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Mailing Address
-- JESSICA COUTAIN
2825 SW 14TH ST
FORT LAUDERDALE, FL 33312-3906
Phone number: 954-851-4640
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